Doppler Clinic Case Study

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Lower Limb Assessment and ABPI Clinic – Case Study Introduction This case study illustrates the effectiveness of a new service to Pennine Care NHS Foundation Trust, the Lower Limb Assessment and ABPI (Ankle Brachial Pressure Index) Clinic. Background The Lower Limb Assessment Clinic was set up in September 2012 as part of the Hospital in the Community (HINC) scheme, to assess patients with symptoms of aching legs, varicose veins or post deep vein thrombosis. Previously there was no service available for patients presenting with these symptoms, some would get referred to the hospital for a vascular assessment and others had no where to go. It is a nurse led clinic with a nurse who has undertaken specialist training. The nurse is responsible for triaging the patient referrals, assessing the patients and referring the patients on where appropriate. Case Study A 42 year gentleman was referred to the clinic by his General Practitioner (GP) for a lower limb assessment and doppler test due to having varicose veins and lower aching limbs. He had been seeing his GP on and off with the symptoms for about 2 years and had become quite anxious and concerned. The GP had been unable to refer him for the assessment and test sooner as there was no available service until now. Lower Limb Assessment and ABPI A full medical history was obtained including medications and allergies and an examination of both lower limbs was conducted. This is to ascertain whether or not there are any clinical signs of any arterial insufficiency indicated. Both ankles and feet were very oedematous, red staining presented on both lower limbs and varicose veins were prominent in both legs. The patient complained of tired and throbbing legs and often got itchy patches of eczema above the ankle. These are all symptoms indicating that the veins are not working efficiently. An explanation was given

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